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Individual
SALLY RYAN
Active
Individual
SALLY RYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
005532
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
620D1-4555
BLUE CROSS
MI
Enumeration date
03/05/2008
Last updated
03/05/2008
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